6282-14-1 Folio 30

Name: Robert CHANDLER,

Aged: 77,

Reg. No. 30,

Admitted: August 16, 1899.

Copy of Statement of Particulars

Reception Order signed by: B. H. Adams, Dated: February 25, 1882

Sex and Age: m 60

Civil State: Single

Occupation: Whip Maker

Religion: Protestant

First Attack: Yes

Age on first attack: 60

When and where previously under treatment: Claybury Asylum (Crossed out)

Duration of present attack: 2 months

Supposed cause: Not known

Epileptic: No

Suicidal: No

Dangerous to others and how: No

Any near relative afflicted with Insanity: Known

Union chargeable to: Holborn

Previous Place of Abode: Douglas Place, Clerkenwell

Name and Address of Person to whom Notice of Death to be sent: Nil

Names and Addresses of one or more relatives of the Patient: Nil

Medical Certificate

Medical Certificate Signed by: Norton

Facts indicating insanity observed by myself at the time of examination viz.:

Distressed in mind because he cannot get some money he imagines he has been left him. Thinks people accuse him of doing something wrong & wants & wants to get away from them, says he does not care where he goes, only wishes to get away.

Facts communicated by others viz.:

Wm. Taylor (Attendant) informs me that Robert Chandler attempts to run out of the ward.

Transferred from: Claybury Asylum

Condition on Admission

Mental State:-

As far as possible under such Headings as:
Attention, Comprehension and Re-action, Cognition of self and surroundings, including mistakes of identity and appreciation of time and place, States of Stupor and Catalepsy, Memory for recent and remote events, Association and flow of ideas, Coherence, Reasoning power, Hallucinations, Illusions, Delusions, Exaltation, Fantasies of dress, Excitement, Depression, Impulses—General, Suicidal, Homicidal, Erotic, Destructive, Obsessions, Resistiveness or Hostility, Restlessness, Self-employment, Attention to personal needs, Religiosity, Sense of propriety, Lewdness of conversation and conduct, Regard for relatives.